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Organization

SOUTH FORK HEALTH AND WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY SUMMERHILL DO (OWNER)
(870) 500-4225
Entity
Organization

Contact information

Practice address
105 PINTO PLACE, SALEM, AR 72576-7011
(870) 500-4225
Mailing address
105 PINTO PLACE, SALEM, AR 72576-7011
(870) 500-4225

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
07/29/2021
Last updated
07/29/2021
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